11820 Northup Way Suite E190, Bellevue, WA 98005
Tummy Tuck Image

Tummy Tuck

Abdominoplasty – Tummy Tuck – (Body Contouring) – Bellevue, WA

38 Procedures ( View All )


For many years, the tummy tuck consisted of making a hip to hip scar to remove excessive skin and fat, tighten the abdominal muscles which have separated or stretched usually from pregnancy and removing the excess skin just above the pubic area level. This is a classic tummy tuck or abdominoplasty. The modern abdominoplasty has little resemblance to the above description. With advanced technology, Seattle area body sculpting plastic surgeon, Dr. Marosan, performs a short, low scar tummy tuck, along with 4D tummy tuck for superior results. Dr. Marosan, in fact, is only one of a handful of surgeons around the world who have been trained in this highly technical procedure. Not only is the appearance of scarring minimized, but a better outcome is possible with contouring the whole torso to create an hourglass figure.

In addition to removing the unwanted skin and fat, the 4D tummy tuck further sculpts the abdomen, while maintaining the integrity of blood vessels and nerves for safer, more reliable results. After the surgery, the abdomen is contoured and trimmer for a look that will surely boost any patient’s confidence.

Surgical Technique

Full Tummy Tuck

In patients who undergo a full tummy tuck, the incision varies in length, but is always placed in a low location, thus the resultant scar line can be hidden when wearing undergarments or swimwear. It is commonly performed on women with significant skin folds after multiple pregnancies. This technique allows the surgeon access to a large portion of the abdomen while repositioning the belly button so that its placement appears natural. Liposuction is performed to remove excess fat preceding the skin tightening portion. The internal abdominal muscles are secured for a firm, toned appearance. Dr. Marosan believes that it is not enough to make the abdomen flat without muscle definition or contouring the rest of the back, waist, hips, lower back fat pad, lateral chest wall to complement and enhance the results. This gives an athletic and youthful body. Dr. Marosan, truly will turn back the time the way you will look and feel.

An abdominoplasty with liposuction offers plenty of cosmetic rewards. It also delivers certain medical benefits as documented in recent studies. These are: 1. Correction of ventral and/or umbilical hernia, 2. Reduce stress urinary incontinence, 3. Decrease back pain and 4. Improve posture.

Mini Tummy Tuck

A traditional mini tummy tuck tightens the muscle from the belly button to the pubic bone. The muscle or skin are not affected above the belly button. In my practice, less than 10% of patients are good candidates for this procedure. Patients wrongly believe that a mini will give them a mini scar. This is not true in most cases, since most surgeons apply the same technique as for a full tummy tuck. An alternative to the traditional technique is the modified mini tummy tuck, which is also known as a “Brazilian tummy tuck.” The difference is that ideally the patients that undergo this procedure are already in relatively good shape with a healthy skin tone, but still have loose skin on the lower abdomen. Unlike  the full tummy tuck, the belly button is unaffected and the incision is smaller.  VASER Hi Def Liposuction is used to remove excess fat and sculpt the abdomen, and the loose skin is removed low at the pubic bone level. With special instrumentation, Dr. Marosan tightens the abdominal muscles from the breast bone to the pubic bone, just like in a full tummy tuck. Liposuction of the waist, hips and back are done to give an hourglass figure.

Extended Tummy Tuck

In cases when major skin tightening and body contouring is needed, an extended tummy tuck is recommended. This is a necessary technique for patients who have undergone a significant weight loss. It was developed after some patients noted that even after a full tummy tuck, the parts surrounding the abdomen still showed excessive folds of skin. The incision may extend around the flank and sides depending where skin tightening is necessary. Liposuction is still used and excess skin is trimmed then tightened. Similar to a full tummy tuck, the belly button is repositioned.

During/After Surgery

A tummy tuck is done under intravenous sedation and tumescent anesthesia. It is an outpatient procedure done in our certified office operating suite. Intra operatively, Dr. Marosan uses Exparel, a long lasting local anesthetic, injected into the abdominal muscles for pain control. This avoids you carrying a pain pump.  As with any other surgery, abdominoplasty comes with risks so it’s best to discuss any health conditions you have prior to surgery. After surgery, pain medications are provided and a compression garment is worn. The patient will need to rest the day of surgery. From then on, it is recommended that patients make a concerted effort to move around and walk every two hours during the day to help blood circulation and reduce the risks of blood clot complications. Recovery may take up to 6 weeks.

Request Consultation

Plan Your Procedure

Average Cost  
$7,000 - $15,000
Recovery Time  
3-4 Weeks
Average Procedure Time  
6-8 Hours
Post-op Follow-up  
Next Day
Procedure Recovery Location  
Contact Us

Tummy Tuck FAQs

Lipo or Abdominoplasty?

Tummy tucks are reserved for patients who have stretched, loose skin in the lower abdomen as a result of pregnancy or obesity.  Liposuction, on the other hand, is for those who want to remove excess fat in the abdomen but still have a healthy skin tone. During the initial consultation, Dr. Marosan will provide a thorough assessment and determine if liposuction alone is all that is needed, or if a tummy tuck alone or with liposuction will provide the best results. If a person has large amounts of fat over the abdomen, Dr. Marosan prefers to do liposuction first and do the tummy tuck later for the best results. This will make your incision shorter and the abdomen will have the best possible contour.

Combining Procedures?

Normally, abdominoplasty is performed to improve loose skin and excess fat around the abdominal area. With modern body sculpting techniques, superior results can be obtained over a standard tummy tuck. However, sometimes other cosmetic procedures, such as breast augmentation or a breast lift are done to further improve the overall look and feel of the body. When this combination type surgery exists, it is known as a “mommy makeover”. It is very popular among women after pregnancy who wish to get their pre-pregnancy body and shape back to normal.

How Bad Are The Scars?

Unfortunately, with a tummy tuck surgery, scars are unavoidable. However, extra measures are taken to make sure that scarring is minimal. The incision line is placed in areas that can be concealed by undergarments. Previous C-section scars will be removed, since Dr. Marosan prefers to place the tummy tuck incision lower, at the pubic bone level and one finger breadth above the groin crease. During the healing process, we will provide a post-operative protocol that includes scar treatment to help assist the scars in becoming less visible.  

Pregnancy After Tummy Tuck?

It is our recommendation that women who decide to have more children delay a tummy tuck procedure. The stretching of the skin as a result of another pregnancy can reduce the positive outome of this procedure.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.